Percutaneous Treatment of Bone Hydatid Cyst

Akhan, Okan; Yıldız, Oğuzhan; Ünal, Emre; Çiftçi, Türkmen; Akıncı, Devrim

doi:10.1007/s00270-021-02796-3

Cited by 8 publications

(10 citation statements)

References 11 publications

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“…Akhan et al treated a patient with a large bone CE of the ilium by implementing the nonoperative percutaneous modified catheterization technique (MoCaT). This was the first time that this technique was used in bone CE, and it was proven successful not only in dealing with the patient's condition but also in obliterating the need for an operation, which would probably have been accompanied by increased morbidity, due to the extension and the location of the lesion [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Cystic Echinococcosis of the Ilium Treated with Curettage and Microwave Thermoablation Followed by Bone Cement Installation: A Novel Treatment Technique for a Rare Disease

Papavasiliou

Panagiotidou

Kakoulidis

et al. 2021

Case Reports in Orthopedics

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Bone cystic echinococcosis (CE) is a rare condition requiring a high level of suspicion during primary diagnosis. Wide excision of the lesion is the gold standard of treatment, posing however extreme challenges in certain parts of the skeleton, since it may well be accompanied by increased morbidity. We report the case of a 35-year-old Caucasian female with iliac bone CE, referred to our department (a regional referral center for the treatment of patients with musculoskeletal tumors). The patient reported gradually increasing dull pain at the right iliac fossa and antalgic gait, with an onset of approximately 5 years before her referral. Bone CE diagnosis was established based on physical examination, imaging studies, and two subsequent CT-guided core needle biopsies, performed within a period of 3 months, of which the second was diagnostic. Following a musculoskeletal tumor multidisciplinary meeting, it was decided that the optional treatment was the surgical removal of the cyst. Aiming to minimize the morbidity accompanying a wide resection of the lesion, we performed extended curettage of the lesion through a typical iliac spine approach, followed by microwave ablation of the walls of the remaining bone cavity. The remaining iliac defect was treated with the installation of polymethyl methacrylate bone cement. The patient reported immediate remission of symptoms postoperatively and was able to return to everyday activities two weeks postoperatively. She began oral treatment with albendazole on the 7th postoperative day. She remained symptom-free for a period of 25 months, until she developed a seroma at the gluteal area, which was treated with simple drainage. On her latest follow-up six months later, she remained symptom-free and was able to perform all her previous activities. Microwave ablation may serve as a useful adjuvant modality when treating patients with bone CE, in order to prevent relapse of the disease.

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Section: Discussionmentioning

confidence: 99%

Cystic Echinococcosis of the Ilium Treated with Curettage and Microwave Thermoablation Followed by Bone Cement Installation: A Novel Treatment Technique for a Rare Disease

Papavasiliou

Panagiotidou

Kakoulidis

et al. 2021

Case Reports in Orthopedics

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“…Other presenting complaints may include pressure symptoms, swelling, sinus formation and pathological fractures. Maintenance of general condition and apyrexia are usual in uncomplicated forms [6].…”

Section: The Clinicmentioning

confidence: 99%

“…Rupture or spoilage of cysts should be avoided to prevent local or distant dissemination and immediate anaphylaxis: an excision with wide margins is therefore recommended [2,10]. The percutaneous treatment can be an effective treatment choice and alternative to surgery according to Akhan et al [6]. Despite the different therapeutic methods the relapse rates are very high, especially after partial excision [2,10].…”

Section: Treatmentmentioning

confidence: 99%

“…The diagnosis is usually challenging. Management in bony hydatid disease is difficult, often limited to the use of anthelmintic therapy with surgical intervention [6]. We report a rare case associating a primitive bone and intramuscular hydatid cyst in a 61-year-old man, to illustrate imaging contribution to diagnosis and pre therapeutic assessment.…”

Section: Introductionmentioning

confidence: 98%

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Bone and Intramuscular Hydatid Cysts: A Rare Association

Benzalim¹,

Ranib²,

Alj³

2022

IJMI

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Background: Hydatidosis is a parasitic disease linked to the development of Echinococcus Granulosus larval form in humans. This anthropozoonosis is characterized by many topographical and evolutionary aspects. Musculoskeletal hydatidosis is rare, it represents only 0.9 to 2.5% of all locations. Objective: the aim of this manuscript is to report a rare case of bone and muscle location of hydatid cyst and show the imaging contribution in its positive diagnosis and pre-therapeutic assessment. Method: We report the observation of a 61-year-old man admitted to our training for a right thigh mass, revealing a muscular hydatid cyst with a concomitant iliac bone location. Result: Ultrasound examination shows an intra muscular cystic lesion, of the Sartorius and rectus femoris muscles, with hydatid membranes inside. A simultaneous bone location, at the ipsilateral iliac bone, was fortuitously discovered on CT scan and MRI exploration, which show a multicystic lytic lesion with cystic signal and round daughter cysts on MRI examination. A complementary X-ray of the pelvis shows the classic "honeycomb" appearance of the right iliac bone. A positive hydatid serology confirmed the diagnosis. No concomitant hepatic or pulmonary localization was demonstrated on abdominal ultrasound and chest CT scan. An anthelminthic therapy (Albendazole) was started, and the patient was a candidate for further surgical treatment. Conclusion: Musculoskeletal hydatid cyst location is rare. The Hydatid osteopathy is usually infiltrative, slow and progressive, which makes diagnosis late and compromises the quality of treatment. So, despite its rarity; musculoskeletal hydatid cyst should always be considered in the differential diagnosis of cystic lesions in endemic areas.

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“…[6][7][8][9][10][11][12][13] Nevertheless, a recent paper drew attention to the efficacy of percutaneous treatment in a patient with iliac bone CE. 14 Another recent case was treated with curettage and microwave ablation (MWA), followed by bone cement installation in surgery. 15 This case report is related to a bone CE treated by percutaneous microwave ablation and a soft tissue CE lesion treated by modified catheterization technique (MoCaT) with successful results.…”

Section: Introductionmentioning

confidence: 99%

Case Report: Imaging-Guided Percutaneous Catheterization and Microwave Ablation of a Bone Hydatid Cyst with Soft-Tissue Component

Akhan

Yıldız

Ünal

et al. 2022

The American Journal of Tropical Medicine and Hygiene

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Cystic echinococcosis (CE) of the bone is a rare disease compared with CE of the viscera, and the most involved bony structures are the spine and the pelvis. Both the diagnosis and the treatment of bone CE are challenging for several reasons. The combination of surgery and antimicrobial therapy is the most common approach, the results are far from adequate. Luckily, percutaneous treatment has appeared on the horizon for bone lesions as a more practical option with fewer drawbacks in light of current reports. This article deals with the successful result of ablation-assisted percutaneous treatment of a bone CE lesion and a soft tissue CE lesion treated by modified catheterization technique in a male patient with left hip pain that was unresponsive to previous surgery for CE.

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Percutaneous Treatment of Bone Hydatid Cyst

Cited by 8 publications

References 11 publications

Cystic Echinococcosis of the Ilium Treated with Curettage and Microwave Thermoablation Followed by Bone Cement Installation: A Novel Treatment Technique for a Rare Disease

Cystic Echinococcosis of the Ilium Treated with Curettage and Microwave Thermoablation Followed by Bone Cement Installation: A Novel Treatment Technique for a Rare Disease

Bone and Intramuscular Hydatid Cysts: A Rare Association

Case Report: Imaging-Guided Percutaneous Catheterization and Microwave Ablation of a Bone Hydatid Cyst with Soft-Tissue Component

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